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2. 

3. Township of Hopewell

   201 Washington Crossing Pennington Rd

   Titusville, NJ 08560

5. Employment is conditional upon the results of the criminal background check and medical examination of the Township physician. Those applicants requiring a reasonable accommodation to the application and/or interview process should notify the Human Resources Director. We an an equal opportunity employer.

   * indicates a required field

9. Candidate Information

11. Date:
    Date:
13. First Name*
14. Last Name*
16. Phone Number*
17. Email*
19. Referral Source:
20. Position applied for:*
22. Address*
24. City*
25. State*
26. Zip Code*
28. Have you ever applied to the Township of Hopewell before?*

    1. Yes
    2. No
29. Have you ever been employed by the Township before?*

    1. Yes
    2. No
30. If you are under 18, can you provide proof of eligibility to work?*

    1. Yes
    2. No
31. Are you legally eligible to work in the United States of America?*

    Pursuant to federal Law, proof of US citizenship or immigration status will be required if you are hired. 

    1. Yes
    2. No
33. Date available to work:*
    Date available to work:
34. What is your desired salary range or hourly rate of pay?*
35. Type of employment desired?*
    -- Select One --Full timePart timeSeasonal Temporary
37. Will you work overtime if required?*

    1. Yes
    2. No
38. Are you currently on layoff status and subject to recall?*

    1. Yes
    2. No
39. Are you able to perform the essential functions of the job for which you are applying for?*

    1. Yes
    2. No
41. Do you possess a current Commercial Driver's License?*

    1. Yes - Class A
    2. Yes - Class B
    3. No
42. Do you possess a current New Jersey Driver's License?*

    1. Yes
    2. No
44. Have you ever been convicted of a crime that prevents you from public employment in New Jersey?*
45. Do you speak any foreign languages?*

    If so, please identify proficiency (speak some, speak fluently, read, write).

46. Have you ever worked or been educated under a different name?*

    If so, please specify name(s):

50. Education

    Please list your education history below.

52. High School/GED*
53. Years Completed*
55. College or University*
56. Years Completed*
58. Business or Trade School*
59. Years Completed*
61. Are you currently studying?*

    If yes, please provide details. 

65. Employment History

    Please list your most recent employment history below, including US armed forces experience and self employment. List your present or most recent employer first and do not omit any employer. 

    This section allows you to list up to five employers. List as much as you have. 

67. Job #1

69. Employer:*
70. Telephone:*
71. Dates Employed*
    Dates Employed Start Date

    —

    Dates Employed End Date
73. Address*
75. City*
76. State*
77. Zip Code*
79. Ending job title:*
80. Reason for leaving*
81. May we contact your previous employer?*

    1. Yes
    2. No
83. If you selected no, why do you not want us to contact this employer?
84. Summarize the type of work performed and job responsibilities*
86. Type of position:*

    1. Full time
    2. Part time
    3. Internship
    4. Seasonal
    5. Temporary
87. What did you like most about your position?*
88. What did you like least about the position?*

90. Job #2

92. Employer:*
93. Telephone:*
94. Dates Employed*
    Dates Employed Start Date

    —

    Dates Employed End Date
96. Address
98. City
99. State
100. Zip Code
102. Ending job title:*
103. Reason for leaving*
104. May we contact your previous employer?*

     1. Yes
     2. No
106. If you selected no, why do you not want us to contact this employer?
107. Summarize the type of work performed and job responsibilities*
109. Type of position:*

     1. Full time
     2. Part time
     3. Internship
     4. Seasonal
     5. Temporary
110. What did you like most about your position?*
111. What did you like least about the position?*

113. Job #3

115. Employer:*
116. Telephone:*
117. Dates Employed*
     Dates Employed Start Date

     —

     Dates Employed End Date
119. Address
121. City
122. State
123. Zip Code
125. Ending job title:*
126. Reason for leaving*
127. May we contact your previous employer?*

     1. Yes
     2. No
129. If you selected no, why do you not want us to contact this employer?
130. Summarize the type of work performed and job responsibilities*
132. Type of position:*

     1. Full time
     2. Part time
     3. Internship
     4. Seasonal
     5. Temporary
133. What did you like most about your position?*
134. What did you like least about your position?*
136. Ending job title:*
137. Reason for leaving*
138. May we contact your previous employer?*

     1. Yes
     2. No
140. If you selected no, why do you not want us to contact this employer?*
141. Summarize the type of work performed and job responsibilities*
143. Type of position:*

     1. Full time
     2. Part time
     3. Internship
     4. Seasonal
     5. Temporary
144. What did you like most about your position?*
145. What did you like least about your position?*

147. Additional questions

149. Explain any gaps in your employment:
151. Have you ever been fired or asked to resign from a job?*

     1. Yes
     2. No
152. If yes, please explain
154. Are you related to any current Hopewell Township employees?*
155. If yes, please list their name, title, and relationship to them

159. References

     Please list up to three professional references.

161. Name
162. Telephone
163. Relationship/Number of years known
165. Name
166. Telephone
167. Relationship/Number of years known
169. Name
170. Telephone
171. Relationship/Number of years known

175. Skills & Qualifications

     Please answer the following questions below regarding your skills and qualifications for the position you are applying for.

177. Please list any computer programs or software that you are proficient in, including the years if experience with each program.*
179. Please list any special trainings, licenses, or certifications that you possess that may assist you in the position for which you are applying.*
181. To what job-related organizations (professional, trade, etc.) do you belong?

     Please exclude those that indicate race, religion, sex, age, national origin or any other protected classification. 

183. Please list any special accomplishments, publications, or awards you have received:
185. In your current or previous job(s), have you ever written instructions or directions to be followed by employees?*

     1. Yes
     2. No
186. If yes, please explain:
188. Have you ever worked in a supervisor capacity?*

     1. Yes
     2. No
189. If yes, please note how many employees you supervised and job responsibilities pertaining to the supervision of other employees:
191. Cover Letter*
192. Resume*
193. Additional Uploads

195. Applicant's Statement

     I certify that the information on this application is true, complete and accurate, to the best of my knowledge.  I authorize my former employers to release any information they may have concerning my employment record and I release the Township of Hopewell and all previous employers from all liability that might arise from the disclosure of information.  I authorize investigation of all statements contained in this application, including education, and a review of all criminal history, military and disciplinary records of any source, as may be necessary in arriving at an employment decision. 
     
     I give the Township of Hopewell the right to investigate the information I have provided, talk with former employers (except where I have indicated they may not be contacted).  I give the Township of Hopewell the right to secure additional job-related information about me. I release the Township of Hopewell and its representatives from all liability for seeking such information.   
     
     I understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with Township of Hopewell is of an “at will” nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. 
     
     I understand that the discovery of any misrepresentation or omission of fact in this application will result in the rejection of my employment application, or in the event of employment, provide cause for termination of employment.  I fully and completely understand that as a condition of employment, I must be able to perform all duties of the position applied for with or without reasonable accommodation.  I also understand that if employed by the Township, I must abide by all Township rules and regulations. 
     
     I understand that any offer of employment may be subject to job-related medical, physical, drug or psychological tests.  I also understand that employment is conditioned on passing a complete background and criminal check.

199. Full name*
200. Today's date*
     Today's date
Leave This Blank:


202. 1. Receive an email copy of this form.
203. Email address

     This field is not part of the form submission.

204. Submit

* indicates a required field